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Organization
PATRICIA HERNANDEZ OPTOMETRIC CENTER INC
Active
Organization
PATRICIA HERNANDEZ OPTOMETRIC CENTER INC
Active
Other names
Iris Optometric Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA RIVERA HERNANDEZ O.D. (OPTOMETRIST /CEO)
(510) 928-0650
Entity
Organization
Contact information
Practice address
4251 PIEDMONT AVE, OAKLAND, CA 94611-4713
(510) 654-4747
Mailing address
2849 KITCHENER CT, OAKLAND, CA 94602-3551
(510) 928-0650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609824705
MEDICARE
CA
Enumeration date
02/14/2019
Last updated
02/14/2019
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